Indiana
Professional Licensing Agency
Hospice Source
Pharmacy Board - Home Medical Equip Service Provider
License number
69000385A
Date granted
04/02/2008
Date expires
12/31/2015
Class
Pharmacy Board - Home Medical Equip Service Provider
Status
Active
Address
2829 Freeman St, Fort Wayne IN 46802
indianalicensing.org
ID 24890817
LAST UPDATED 2024-04-01 21:25:52 UTC
LAST UPDATED 2024-04-01 21:25:52 UTC
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